Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Madalyn Pederson

Individual provider Counselor · NPI 1003576638

Madalyn Pederson is a Mental Health Counselor in Bemidji, Minnesota. Qualified in 2021, 5 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

112 1st St W
Bemidji, MN 56601-4002
Phone: (218) 888-8032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 4792 (MN)
Counselor Taxonomy 101Y00000X

Record details

NPI number1003576638
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 22, 2021
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 9, 2025
Mailing address14 S Main St Ste 1e, Aberdeen, SD 57401-4189

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Bemidji